How much rates vary
Facilitymedian $3,548 · 10th to 90th $89 to $7,413Professionalmedian $3,548 · 10th to 90th $3,467 to $19,055
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $17,378.01 | Facility | None | $3,467.37 | $3,467.37 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,981.07 | Professional | None | $3,467.37 | $3,467.37 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $5,888.44 | Facility | None | $2,041.74 | $3,162.28 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $6,606.93 | Professional | None | $3,548.13 | $3,548.13 | $6,606.93 |
Blue Shield Setting Facility Modifier None Typical Low $75.86 Median $3,548.13 Typical High $5,248.07 | Facility | None | $75.86 | $3,548.13 | $5,248.07 |
Blue Shield Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $5,623.41 | Professional | None | $3,467.37 | $3,467.37 | $5,623.41 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $4,168.69 | Professional | None | $2,818.38 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $7,079.46 Typical High $10,715.19 | Facility | None | $3,548.13 | $7,079.46 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,818.38 Median $3,981.07 Typical High $5,370.32 | Professional | None | $2,818.38 | $3,981.07 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $3,981.07 | Professional | None | $407.38 | $630.96 | $3,981.07 |
Lucent Health Setting Professional Modifier None Typical Low $19,054.61 Median $19,054.61 Typical High $19,054.61 | Professional | None | $19,054.61 | $19,054.61 | $19,054.61 |
Providence Setting Facility Modifier None Typical Low $3,467.37 Median $5,011.87 Typical High $9,549.93 | Facility | None | $3,467.37 | $5,011.87 | $9,549.93 |
Providence Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,168.69 | Professional | None | $3,548.13 | $3,548.13 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $10,000.00 | Facility | None | $1,584.89 | $1,584.89 | $10,000.00 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $6,456.54 | Professional | None | $3,467.37 | $3,467.37 | $6,456.54 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $346.74 | $346.74 | $346.74 |
Where California sits
The same service costs 1.6 times more in North Carolina than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 12th of 51
$3,548
NC $5,370NE $3,388
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.